Clear work objectives. Focusing on "protecting health and preventing serious diseases", we will establish a working mechanism of "having medicines to buy, seeing diseases, clear accounts, timely transshipment and guiding in place", focusing on the operation of rural epidemic prevention system, strengthening daily health services and the management of key populations, fully implementing the responsibilities of the four parties, ensuring the safety and health of rural residents to the utmost extent, and minimizing the impact of the epidemic on rural economic and social development.
Second, improve the rural epidemic prevention and control system.
Give full play to the role of rural grass-roots organizations. Strengthen the specific organization and leadership of rural grass-roots party organizations in epidemic prevention and control, give full play to the role of rural party organizations as battle bastions and the advantages of other kinds of organizational resources, promote the initiative of village "two committees" cadres, the first secretary in the village and rural party member, and do a good job in epidemic prevention and control scientifically and accurately.
Strengthen the preparation of medical materials and the guarantee of basic conditions. Accelerate the improvement of disinfection, inspection, emergency rescue and other corresponding equipment and drug allocation in rural areas. Strengthen the supply and reserve of antipyretic, antitussive and analgesic drugs to meet the treatment needs of rural residents, especially severe high-risk and elderly patients. Strengthen the reserve of first-aid drugs and medical devices. Rural grassroots medical and health institutions are dynamically equipped with Chinese medicines, symptomatic drugs and antigen detection reagents related to novel coronavirus infection according to 15%-20% of the population they serve, and the number in densely populated areas will be increased as appropriate. In rural areas with remote geographical location and inconvenient transportation, sufficient therapeutic drugs and epidemic prevention materials should be prepared in advance. Pay close attention to solving specific problems such as the inclusion of drugs and medical devices in village clinics in the scope of medical security, the coverage of medical insurance settlement system, the shortage of facilities and equipment, and the shortage of personnel.
Smooth channels for purchasing drugs. All agriculture-related areas should strengthen overall planning, timely dispatch, strengthen the logistics and distribution capacity of drug supply enterprises, and ensure the supply of listed drugs in rural medical and health institutions. Smooth online and offline purchase channels for over-the-counter drugs such as fever, cough, antivirus and cold medicine. On the premise of ensuring the safety of drugs, part of the short drugs are allowed to be sold to meet the basic drug purchase needs of rural residents. Provide convenience for express delivery companies and ensure the normal purchase of rural residents.
Improve patients' ability of receiving and referring. Establish medical service groups village by village to ensure that the planned village clinics are fully open, the designated medical insurance is fully designated, and the basic operation guarantee is fully guaranteed. The community health service center shall set up a fever clinic to provide consultation and prescription services for patients with fever. In the fever consultation area, the consultation process should be clear, so as to avoid crossing with other patients, and the medical staff should be standardized and protected. All village clinics and community health service stations should provide prescription services for patients with fever and other symptoms. Strengthen villagers' health publicity and education, and respond to health consultation and questions in a timely manner through various forms. Improve the grid-based three-level medical treatment system, strengthen the overall scheduling of medical resources in the jurisdiction, and timely divert treatment.
According to the distribution of community health service centers in rural areas, scientifically define the diagnosis and treatment network, organize the core hospitals of medical associations to provide technical support for regional community health service centers through online and offline methods, improve the level of diagnosis and treatment, assist community health service centers to ensure medical quality, help grassroots medical staff identify critically ill patients at an early stage, do a good job in graded diagnosis and treatment, and improve the process of first diagnosis, reception and referral at the grassroots level. Strengthen the overall planning of villages and towns, improve the rural emergency transport system, and on the basis of medical and health institutions speeding up the deployment and call of ambulances, all rural areas immediately organize and reserve a number of vehicles ready to transport patients, so as to ensure that COVID-19 infected people in rural areas can be transported and treated in time. Determine the special post personnel, responsible for connecting with community health service centers, district hospitals, designated hospitals and urban counterpart support hospitals led by regional medical institutions. Establish a clear reception process and a green channel to improve referral efficiency. All kinds of medical institutions at all levels shall strictly implement the responsibility system of first diagnosis and emergency rescue system, and shall not shirk or refuse to treat COVID-19 infected persons for any reason.
Deal with serious risks in time. Strengthen the training of medical personnel, improve the ability of identifying, handling and classifying health services for severely high-risk groups, and ensure that severely high-risk infected people can get timely treatment when their condition deteriorates. Carry out epidemic risk assessment and early warning in rural areas, and do a good job in health monitoring and classified management of people in rural areas, especially the elderly with basic diseases and high-risk groups such as pregnant women and children. Need timely hospitalization, in accordance with the principle of "all receivables" and "should be turned to the best", timely referral to a hospital with diagnosis and treatment ability for treatment.
Third, do a good job in publicizing and guiding rural residents.
Advocate adherence to personal protective measures. According to the rural characteristics of this city, we will carry out all kinds of popular science publicity activities that rural residents love, fully publicize the key role of personal protection, vaccination and other measures in responding to the epidemic, and build a solid foundation for mass prevention and control. Through country radio, small speakers, new media, etc. Can be widely publicized in a language that the villagers can understand and understand, and establish the concept that "everyone is the first responsible person for their own health". Asymptomatic infected people and mild patients should take care of themselves at home, reduce contact with roommates, and rationally use symptomatic treatment drugs. If the condition worsens, they can go to the nearest medical institution for treatment. It is advocated to wear a mask and wash hands frequently when visiting relatives and friends, and to have as few parties and dinners as possible, and to keep interpersonal distance in public places. Fever, fatigue, dry cough and other symptoms. Don't go out to visit relatives and friends, don't go to parties, especially avoid visiting elderly people with basic diseases. Advocate a healthy lifestyle, regular work and rest, healthy diet, drink plenty of water and maintain a good attitude. Advocate neighborhood mutual assistance and enjoy the exchange of surplus epidemic prevention materials and therapeutic drugs. Combined with the construction of healthy rural areas, we will carry out patriotic health campaigns such as rural environmental cleaning and improvement to improve the living environment.
Strengthen health tips for returnees in rural areas. Advocate off-peak travel, minimize travel during the epidemic, and guide returnees to strengthen health monitoring. Township governments and villagers' committees, especially in villages with upside-down population and folk tourist villages where migrants gather, should grasp the information of returnees in time, remind them to do a good job in health monitoring, standardize wearing masks, reduce contact with middle-aged and elderly people, especially those with basic diseases, and inform them of the contact information of medical institutions where they live.
Properly control the scale of aggregation activities. Visitors to rural fairs, temple fairs and homestays should do personal protection to reduce crowd gathering. Operators should rest at home if they have symptoms, and don't go to work with illness. During the epidemic period, according to the regional epidemic situation and residents' wishes, the scale and frequency of gathering activities such as rural fairs, temple fairs and cultural performances should be appropriately controlled. Strengthen the management of public closed places, implement prevention and control measures such as ventilation and disinfection, and temporarily close them when necessary. Change customs, live a healthy life, advocate simple wedding banquets, birthday banquets, group banquets and other gathering activities, oppose extravagance and waste, reduce the scale of gathering, and reduce the risk of cluster epidemics.
Fourth, strengthen the protection of key rural groups.
Establish a key population information database. Give full play to the role of districts, township governments, villagers' committees and their public health committees, community health service centers, community health service stations and village clinics, and find out the health status of the elderly, pregnant women, widowed elderly and left-behind children with basic diseases in the village. Implement the requirements of the Work Plan for Health Services for Key Populations in COVID-19, and implement graded health management according to health risk levels.
Accelerate the vaccination rate of the elderly in rural areas. Further strengthen organizational mobilization, adhere to "unified management", adhere to the government's lead, departmental linkage, village mobilization, implement territorial management responsibilities, accelerate the vaccination rate of rural people aged 80 and over, and continue to improve the vaccination rate of people aged 60-79 and other age groups. On the basis of the first dose of booster immunization, the second dose of booster immunization will be promoted among people at high risk of infection, elderly people aged 60 and over, people with serious basic diseases and people with low immunity. Medical and health institutions undertaking vaccination should provide maximum convenience for rural residents, especially the elderly, by setting up green channels for the elderly or arranging mobile vaccination vehicles to go to the countryside and villages.
Strengthen medical and health services for key populations. Give play to the role of "net bottom" of primary medical and health institutions and "gatekeeper" of family doctors' health, and accelerate the expansion of the coverage of family doctors' contract services for the elderly aged 65 and over in rural areas. Through telephone, video, WeChat or offline follow-up, strengthen health guidance, medication, antigen detection and other services for home self-care personnel. Encourage the distribution of free health care packages to key groups. Implement the service responsibilities of villagers' committees for people who take care of themselves at home, especially for the elderly and disabled people who can't take care of themselves, assist them in health monitoring, and feed back to rural medical institutions in time. Organize voluntary service to help with purchasing, home delivery and garbage removal. Establish a green channel for key populations, ensure the timely detection and timely treatment of COVID-19 infected people with high risk of serious diseases, and improve the timeliness of referral. During the epidemic period, centralized institutions for the aged and social welfare institutions in rural areas set up closed-loop management areas, mobile management areas and health observation areas to prevent cross-infection. Consolidate the hand-in-hand relationship between medical institutions and pension institutions, and do a good job in health monitoring and daily medical services for the elderly. Strengthen the publicity of monitoring indicators for patients with severe early warning such as the elderly and children, and inform patients or their families to go to the hospital as soon as possible after the early warning situation occurs.
Five, comprehensively promote the prevention and control of rural epidemic situation and stabilize the supply of agricultural materials.
Do a good job in agricultural production and ensure the stable production and supply of agricultural products. Strengthen the protection of policies, technology, agricultural materials, information, personnel and other factors, decompose the production tasks of grain and vegetables into districts, towns and plots, and do a good job in field management; Stabilize the basic production capacity of pigs and ensure that they are in the green control area; Supervise the management of poultry, cows and aquatic products. Strengthen the prevention and control of animal diseases and the management of safe production, and firmly hold the bottom line that no major regional animal epidemic will occur.
Enrich the rural tourism market. Coordinate the requirements for epidemic prevention and control and resumption of production, guide all districts and rural tourism producers and operators to implement various optimization measures for epidemic prevention and control and safety production, actively develop new products with rural characteristics, strive to create new scenes, and continuously enrich the rural tourism market.
Sixth, strengthen organizational guarantee.
Strengthen overall coordination. Improve the organizational structure of rural mass prevention and treatment at all levels, refine the work plan of rural mass prevention and treatment according to departmental responsibilities, and make overall plans for comprehensive coordination, supervision and inspection, health services, rural pension, rural market and health, rural religious sites, organization mobilization, public opinion monitoring and other related mass prevention and treatment work. Strengthen cooperation among member units and give full play to the roles of policy coordination, material allocation and grassroots mobilization. Increase support and guarantee for rural epidemic prevention and control from the aspects of drugs, equipment, manpower and funds, and keep the bottom line of rural epidemic prevention and control.
Compaction of job responsibilities at all levels. We will implement the requirements of "five-level secretaries focusing on epidemic prevention and control", establish a working mechanism in which district and township party committee secretaries coordinate, Bao village cadres focus on the front line and village party organization secretaries directly, and effectively implement various measures for epidemic prevention and control from village to village. All districts should guide towns and villages to implement the responsibility requirements of epidemic prevention and control organization, mobilization, coordination, publicity and guidance, and ensure that all work enters villages and households. District rural prevention and control team should establish a corresponding working mechanism to keep abreast of the epidemic prevention and control trends in rural areas.
Respond to the demands of rural residents in a timely manner. All districts should collect the problems reflected by grassroots and rural residents through the 12345 citizen service hotline and publish emergency contact numbers, solve and rectify existing problems in time, feedback and dispose of public opinion information in time, and ensure a stable and orderly production and life order in rural areas.
The capital strictly enters Beijing to manage the office of joint defense and joint control coordination mechanism
Beijing novel coronavirus Infection Epidemic Prevention and Control Work Leading Team Office
65438+20231October 6th
》》